Kidneys Flashcards

1
Q

the kidneys are ____peritoneal

A

primarily retroperitoneal

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2
Q

the ureters lead to the ____

A

urinary bladder

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3
Q

the ureters are ____peritoneal

A

primarily retroperitoneal

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4
Q

the bladder is located in the ____ pelvis

A

true

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5
Q

the bladder is ____peritoneal

A

sub

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6
Q

the suprarenal glands are ____peritoneal

A

primarily retroperitoneal

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7
Q

what type of glands are the suprarenal glands?

A

endocrine

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8
Q

name the 3 types of renal fat

A

pararenal
perirenal (perinephric)
periureteric

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9
Q

location of pararenal fat

A

posterior/posterolateral to kidney

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10
Q

location of perirenal fat

A
  • completely surrounds kidney
  • continues into hilum
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11
Q

the renal fascia encloses…

A

kidney
suprarenal glands
surrounding perirenal fat

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12
Q

describe the location of the kidneys

A
  • bilaterally at level of T12-L3 (right is 5-6cm lower)
  • “flank” region
  • transpyloric plane (top of right; hilum of left)
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13
Q

the renal hilum contains…

A

renal a + v
ureter
(entry to renal sinus)

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14
Q

function of renal cortex

A

blood filtration and urine production

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15
Q

function of renal medulla

A

urine transport

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16
Q

the renal medulla contains…

A

renal pyramids (+ renal papilla)
renal columns

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17
Q

the renal papilla are located at the…

A

apex of renal pyramid

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18
Q

the major calyx receives…

A

2-3 minor calices

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19
Q

renal sinus

A
  • space within kidney surrounding renal pelvis & calices
  • filled with perirenal fat
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20
Q

renal pelvis

A
  • receives 2-3 major calices
  • funnel-shaped expansion leading to ureter
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21
Q

the right and left renal arteries branch from the abdominal aorta at the level of ____ IVD

A

L1-L2

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22
Q

the right renal artery is longer and passes posterior to the ____

A

IVC

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23
Q

The renal arteries divide into ____ within the kidney

A

5 segmental arteries

24
Q

the left and right renal veins drain into the ____

A

IVC

25
Q

name 3 asymmetrical structures of the kidneys

A
  • renal vv
  • suprarenal vv
  • gonadal vv
26
Q

the left gonadal vein drains into the ____

A

left renal v

27
Q

the right gonadal vein drains into the ____

A

IVC

28
Q

the right suprarenal vein drains into the ____

A

IVC

29
Q

the left suprarenal vein drains into the ____

A

left renal v

30
Q

renal lymph vessels drain into the ____ and eventually into ____

A
  • right and left lumbar lymph nodes
  • cisterna chyli
31
Q

sympathetic innervation of kidneys

A

(renal nerve plexus)
- SNS fibers from least splanchnic n (T12)
- synapse in aorticorenal ganglion

32
Q

parasympathetic innervation of kidneys

A

(renal nerve plexus)
PSNS fibers from vagus n (CN X)

33
Q

name 3 radiologically visible constrictions of the ureters

A
  • junction of ureter and renal pelvis
  • ureters cross brim of pelvic inlet at common iliac bifurcation
  • passage through wall of urinary bladder
34
Q

radiologically visible constrictions of the ureters are potential sites of ____

A

calculus obstruction (kidney stones)

35
Q

arterial supply of ureters

A

arise from renal aa, gonadal aa, abdominal aorta, common iliac aa

36
Q

veins for ureters drain into ____

A

renal vv and gonadal vv

37
Q

superior portion of ureter lymphatics drain into ____

A

lumbar lymph nodes

38
Q

middle and inferior portion of ureter lymphatics drain into ____

A

common, external, or internal iliac lymph nodes

39
Q

the ureters are innervated by the…

A

renal n plexus, abdominal aortic, and superior hypogastric plexuses

40
Q

afferent fibers of ureters

A

convey pain -> T11-L2 spinal cord segments

41
Q

Ureteric pain typically refers to…

A

ipsi lower quadrant of anterior abdominal wall and groin (T11-L2 dermatomes)

42
Q

the suprarenal glands are attached to the ____

A

diaphragmatic crura

43
Q

the suprarenal glands are separated from the kidneys by ____

A

small septum

44
Q

the right suprarenal gland is ____ shaped

A

pyramid

45
Q

the left suprarenal gland is ____ shaped

A

crescent

46
Q

what exits at the hilum of the suprarenal glands?

A

veins and lymph vessels

47
Q

function of cortex of suprarenal glands

A
  • secrete corticosteroids and androgens
  • cause kidneys to retain Na and water under stress
    (increase blood vol + BP)
  • affect mm and other organs
48
Q

the suprarenal glands are derived from ____

A

embryologic mesoderm

49
Q

the medulla of the suprarenal glands are derived from ____

A

embryologic neural crest cells

50
Q

function of medulla of suprarenal glands

A

chromaffin cells:
- secrete catecholamines
- fight or flight (E + NE)

51
Q

arterial supply of suprarenal glands, and origins

A
  • superior suprarenal a (from inf phrenic a)
  • middle suprarenal a (from abdominal aorta)
  • inf suprarenal a (from renal a)
52
Q

innervation of suprarenal glands

A
  • myelinated presynaptic SNS fibers from IML of T10-L1
  • through paravertebral (sympathetic trunk) and celiac ganglia without synapsing
  • terminate on suprarenal medulla chromaffin cells
53
Q

the ____ renal artery is longer than the ____ renal artery

A

right
left

54
Q

the ____ renal vein is longer than the ____ renal vein

A

left
right

55
Q

the ____ kidney is higher than the ____ kidney

A

left
right

56
Q

how many veins drain the suprarenal glands?

A

1 per side